UMR: Just received a bill for $5k from a hospital visit back in Sept 2023 because insurance requested refund

Hello,

I’m from Nevada. I have UMR under my dad’s employment. Our plan covers emergency room visits for $300 copay. At the time, we had already met our deductible for the year. I went to the hospital for a pretty bad car accident I was in (September 2023) and all they did was an MRI. I never got a bed and sat in the waiting room for 6 hours. I did my MRI and eventually got called back and sat on a chair near the entrance of the hospital ward and was told my results. That was about it.

My initial bill was around $12.9k. As I said previously, my insurance allegedly covers everything aside from the $300 copay, which I paid back in March when they initially billed me.

I ended up suing the guy who crashed into me because my car was totaled and received a settlement of $25k. Over $12k went towards my pt, hospital bill, etc. My lawyer and I both received ~$7.3k. My lawyer explained that $5k would be going directly to my insurance and the other ~$7k would go to other PCPs and something else I don’t remember.

Well, fast forward to Monday (8/26/24). I receive a bill in the mail from said hospital for $5k. I called the billing department and they said that my insurance has requested a $5k refund. I’m not sure what my options are. I’m trying to reach my insurance but they have been passing me around in circles. I tried reaching my previous lawyer to no avail.

I only gave until tomorrow (8/30) to pay in full or request a payment plan.

See also  Out of network reimbursement with network inadequacy approval but charges in excess of allowable amount

Also, this is what my hospital bill stated just in case it helps:

Date(s) of Service: 09/25/2023 Account Number: [XXXXX] Due Date: 08/31/2024 The following describes charge and payment activity for services rendered at [Hospital]. Summary of Charges and Payment Activity PREVIOUS BALANCE

03/05/24: VISA CARD PAYMENT: -$300

05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: -$5000

05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: $5,623

05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: -$623

08/15/24: J08 UNITED HLTHCR: $5,000

Total Account Balance: $5,000

Any help is appreciated. Thank you!